Individual provider · NPI-1

Stephanie Korpue

Home Health Aide · Brooklyn Park, MN

NPI number1083287288
StatusActive
Last updated in NPPESJul 23, 2021

Details

NPI
1083287288
Entity type
Individual (NPI-1)
Name
Stephanie Korpue
Sex
Female
Sole proprietor
No
Enumeration date
Jul 23, 2021
Certification date
Jul 23, 2021
Last updated
Jul 23, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
374U00000X Home Health Aide––Yes

Practice location

6310 Cavell Ct
Brooklyn Park, MN 55428-1888

Phone 443-538-8547

Mailing address

6310 Cavell Ct
Brooklyn Park, MN 55428-1888

Phone 443-538-8547

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